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Ohio rates for HCPCS 57330

Closure of vesicovaginal fistula; transvesical and vaginal approach

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$743.45 / $4,723.00 / $11,627.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$743.45 / $743.45 / $1,496.13
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,097.00 / $8,010.00 / $36,529.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$618.63 / $880.92 / $1,424.17
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$724.71 / $869.65 / $1,076.38
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$797.18 / $797.18 / $805.32
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21,571.00 / $21,571.00 / $21,571.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$653.99 / $1,014.60 / $1,513.91
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$724.71 / $1,041.13 / $1,508.58
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$115.97 / $693.79 / $1,023.54
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,840.00 / $5,998.00 / $7,847.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$709.60 / $978.36 / $1,668.60